Individual
DAKENYA L ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 FOSTER ST APT 7, THOMASVILLE, NC 27360-4670
(336) 845-3260
Mailing address
308 FOSTER ST APT 7, THOMASVILLE, NC 27360-4670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
233764
NC
163WC1500X
Community Health Registered Nurse
Primary
233764
NC
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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